 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / Diseases and Disorders / Glaucoma / February 2004Glaucoma
I had trabs in both eyes about 12 years ago. Today after all that time, it appears that one is plugging up. Over the last 2 months, the IOP has gone from a stable 10-13 to 20 all in 60 days. Since it was first noticed about 60 days ago at 15, I was put on Timoptic for a month, no results and it maintained 15, then Alph for a few weeks to 18?? and then Lumigan for about 10 days and it climbed to 20. In all your combined vast experiance, other than back to the scalpel, are there any other options? If it's the scalpel, how urgent is it in days before I should head to the operating room? Before I noticed the sneek thief the first time, I had already lost 80% in my right eye and 40% in my left eye which is the problem eye now. Help! Thanks.. > I had trabs in both eyes about 12 years ago. Today after all that time, it > appears that one is plugging up. Over the last 2 months, the IOP has gone [quoted text clipped - 8 lines] > > To be honest, Tom, it would appear that a repeat trabeculectomy, or some other type of filtration surgery, would be your best bet, especially if you already have significant optic nerve damage (and therefore should have an IOP between 10 and 13 on a regular basis). Good luck to you. Rick Cohn, MD Glaucoma Specialist Winter Park, FL DR C --My IOP is 18 1/2 in the left eye and 16 in the right eye --is this something to be concerned about ? My Dr. said the optic nerve is in good shape -but because of other smaller numbers I read here -I wonder ??? > DR C --My IOP is 18 1/2 in the left eye and 16 in the right eye --is > this something to be concerned about ? My Dr. said the optic nerve is in > good shape -but because of other smaller numbers I read here -I wonder > ??? This all depends on the health of your optic nerve. If your nerve looks perfect, then your IOP is just fine. If your nerve has mild damage with no field loss, it still may be okay. If your nerve has moderate or severe damage, that IOP may be too high. You've gotta take this up with your own doc...ask him/her where your IOP should be for your nerve. --Dr. C Had glaucoma diagnosed 30 years ago and again 8 years ago and as high as 30. Still have 20/20 vision, good peripheral vision. Have not used drops for may years. Pressure is not necessarily an indication of Glaucoma. Suggest you get several glaucoma specialist professional opinions before you agree to surgery. al. > I had trabs in both eyes about 12 years ago. Today after all that time, it > appears that one is plugging up. Over the last 2 months, the IOP has gone [quoted text clipped - 10 lines] > http://www.newsfeed.com The #1 Newsgroup Service in the World! >100,000 Newsgroups > ---= 19 East/West-Coast Specialized Servers - Total Privacy via Encryption =--- Hmm, that's interesting. I thought professionals would all recommend at least eye drops at this kind of IOP. On the other hand, I understand that cornea thicker than normal would give *false* high reading. Have you ever had your cornea thickness measured? Also, younger people could withstand higher IOP. At what age was your IOP of 30 measured? What was the trend of your IOP over the 30 years period? Anyway, good perpheral vision may not mean that there is no optic nerve damage. Hopefully this is not your case. Sun Chong Hong > Had glaucoma diagnosed 30 years ago and again 8 years ago and as high as 30. > Still have 20/20 vision, good peripheral vision. Have not used drops for may [quoted text clipped - 22 lines] > > ---= 19 East/West-Coast Specialized Servers - Total Privacy via Encryption > =--- My reading on thickness of the cornia was 519 ? good or bad ? > My reading on thickness of the cornia was 519 ? good or bad ? average is about 540. For every 20 microns less, add about 1 point to find your actual IOP...for every 20 microns more, subtract a point. For you, a pressure of 20 is probably really 21 because your cornea is about 20 microns thinner than normal. Thinner corneas are easier to flatten at the slit lamp with the applanator, so the pressure you measure is artificially lower than it probably is inside the eye. --Rick Cohn, MD Glaucoma Specialist Winter Park, FL Flatten at the slit lamp !!--ee gods -that's scary !!!--lord I have SO much to learn , I am such a "peon " in this group ; ) -tho I Have learned just enough here that my doc does give me a little more respect ; ) so my IOP is 20 in one eye and 17 in the other --I can ad one point -higher math --not my forte .Yes --we are lucky to have DR C here with us !!! Just wanted to say thanks for all the comments. I'm off to CA to get something done about pressures next week. My Doctor talks about "needle surgery" to see if he can get the trab to work again. Local doctor said that she can't figure out why it's not working as it looks perfect. We'll see (I hope)! Thanks again, Tom >I had trabs in both eyes about 12 years ago. Today after all that time, it >appears that one is plugging up. Over the last 2 months, the IOP has gone [quoted text clipped - 10 lines] >http://www.newsfeed.com The #1 Newsgroup Service in the World! >100,000 Newsgroups >---= 19 East/West-Coast Specialized Servers - Total Privacy via Encryption =--- |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.